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Related Experiment Videos

Anorectal function following low anterior resection.

O O Rasmussen1, I K Petersen, J Christiansen

  • 1Department of Surgery D, Herlev Hospital, University of Copenhagen, DK-2730 Herlev, Denmark. olra@herlevhosp.kbhamt.dk

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|June 5, 2003
PubMed
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Rectal resection for cancer significantly impacts bowel function, with many patients experiencing incontinence or constipation. Lower anastomosis levels increase risks, affecting rectal compliance and tolerability.

Area of Science:

  • Colorectal surgery
  • Gastroenterology
  • Oncology

Background:

  • Assessed rectal function in 43 patients post-rectal resection for carcinoma.
  • Included 16 women and 27 men, median age 66 years.

Purpose of the Study:

  • To evaluate functional outcomes after rectal resection for carcinoma.
  • To identify factors influencing rectal function post-surgery.

Main Methods:

  • Clinical data, anal manometry, and rectal compliance analyzed 12 months post-resection.
  • Patients assessed for stool frequency, continence, and constipation.
  • Anastomosis level and rectal volume tolerability were key parameters.

Main Results:

  • 51% were continent; 23% experienced fecal incontinence (liquid or solid).

Related Experiment Videos

  • 33% reported constipation; lower anastomosis levels correlated with increased stool frequency and incontinence.
  • Incontinent patients showed lower rectal compliance and volume tolerability.

    • Conclusions:

    • Low anterior resection frequently leads to poor functional results, including incontinence and constipation.
    • Anastomosis height is a critical factor influencing stool frequency and incontinence risk.
    • Reduced rectal compliance and volume tolerability are associated with fecal incontinence.